California Lien Services Transmittal Form

Deliquent Assessment Foreclosure/Small Claims Transmittal

Please check the service
you are requesting:

Collecting Letter Lien Recording Foreclosure Small Claims

Homeowners Association:

Management Company:

Address:

City:

State:

Zip:

Property Manager:

Debtor Information:
Please forward payment history, copy of Lien, and C,C, & R’s

Name:

Your Ref#:

Property Address:

Mailing Address:

Assessment Information:

Regularly Monthly Assessments are in the amount of

with a late charge of $ due on the

Assessment became delinquent on and are due on the of each month.

Special Assessment, Penalties, Fines and Management/Association collection Costs:
Please list explanation, amount, and date occurred.

Date:	$	Explain Cost:
Date:	$	Explain Cost:
Date:	$	Explain Cost:
Date:	$	Explain Cost:

We hereby request and authorize California Lien Services to act as our agent and trustee for the purpose of collecting delinquent assessments, as well as execute, record and/or endorse on our behalf any necessary liens, payments, Substitution of Trustee or other foreclosure notices. We have read your fee schedule and agree to be bound thereby. Further, we understand that during the foreclosure/small claims process, no payments will be accepted by the Management Company/Homeowners Association. All partial payments and inquiries will be forwarded to California Lien Services

Authorized Member of Association or Agent:

Date:

For your personal privacy and security, please print & forward the original form
with your signature via fax or mail.

Mail to: California Lien Services, 11054 Ventura Blvd., Box 342, Studio City, CA 91604

Fax to: (818) 985-9384